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Individual
MS. TICILY MEDLEY
Active
Individual
MS. TICILY MEDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LMFT-S
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
65893
TX
106H00000X
Marriage & Family Therapist
0002496
CO
106H00000X
Marriage & Family Therapist
Primary
201021
TX
Other
Enumeration date
08/15/2013
Last updated
03/15/2024
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